| NPI | 1295387819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 293394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 4632) |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2025-12-03 |